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Free gingival graft
Posted on 10.30.2012 04:05 AM
By Mohamed Fouda
In Periodontics
This 22 years old patient presented with recession on lower incisors, no attached gingiva, muscle pull and shallow vestibule.
The FGG allowed for release of muscle pull and deepening of the vestibule, also root coverage occured on lower left central and the right central is still undergoing creeping attachment at 4 months
FGG in place
4 months follow up
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9 Comments
ali momen says on 10.30.2012 05:14 AM
nicely done. which kind of sutur did you use in this case?
tnx, Ali.
Mohamed Fouda says on 10.30.2012 07:10 AM
Thanks, I used 6 O absorbable sutures
saadou khalaf says on 01.08.2013 06:39 PM
very good case , many thanks dr mohamed
Maurice Salama says on 10.30.2012 09:01 AM
Mohamed; An underutilized graft in periodontics and well done and functional.
Dr. Salama
Mohamed Fouda says on 10.30.2012 09:21 AM
Thank you very much Dr. Maurice
narayan tv says on 10.30.2012 09:36 AM
Nicely done Dr. Fouda. Was the FGG placed on a bone bed or a C T bed and does it have long term consequences?
Mohamed Fouda says on 10.30.2012 04:25 PM
The graft was placed on CT bed, I did release the muscle pull with scalpel and obtained an immovable bed for graft
Actually FGG grafts gets better with time.
Marco Berardini says on 11.01.2012 09:36 AM
Great result, compliments!I 'd like to ask you if you have some experience with the use of heterologous graft material (as Mucograft, Derma or Mucoderm for instance) as alternative of free gingival graft in covering tooth recessions?Thank you
Mohamed Fouda says on 11.01.2012 01:35 PM
Thank you
I used alloderm for root coverage with success. . However you have to place it same way as you place SECTG I.e. under the flap and you have to completely cover it
In this case I don't believe that ADM will be useful as we need to deepen the vestibule and create a wide zone of attached keratinized gingiva